Workshop Agreement
Facilitator: Angie Haag, MS, LADC, LPCC
Practice: Mind Revolution Therapy
Workshop Title: We Mean Business: A Self Care Workshop for Professional Women
Location: In Person (Griswold Home Care)
Purpose and Nature of the Workshop
This workshop is a facilitated group experience designed to support self care in professional women participants in personal growth, self-understanding, and emotional well-being. It is educational and experiential in nature and is not a substitute for individual psychotherapy or medical treatment.
While therapeutic in tone, participation does not establish an ongoing therapist-client relationship beyond the scope of this workshop unless otherwise agreed upon separately.
Facilitator’s Role
As the facilitator, I will:
Provide a safe, respectful, and inclusive environment.
Offer structured exercises, discussions, and reflections relevant to the workshop’s theme.
Model and encourage empathy, curiosity, and self-compassion.
Maintain professional boundaries and uphold ethical and legal standards of confidentiality.
Participant’s Role
As a participant, you agree to:
Engage at your own comfort level and respect your own limits.
Maintain confidentiality regarding other participants’ personal information and experiences.
Contribute to a supportive and non-judgmental environment.
Refrain from behaviors that could disrupt the safety or well-being of the group.
Inform the facilitator of any concerns or discomfort that arise during the workshop.
Participation is voluntary; you may choose to step out or decline activities at any time.
Confidentiality
Confidentiality is an essential component of safety in this workshop.
I, the facilitator, am ethically and legally bound to keep information shared confidential except in cases where:
There is reasonable concern for your safety or the safety of others.
There is suspected abuse or neglect of a child, dependent adult, or vulnerable elder.
Records are required by court order.
While I uphold confidentiality, please note that confidentiality among group members cannot be absolutely guaranteed. Participants are expected to honor and protect one another’s privacy.
Fees and Payment
Workshop fee: $100 per participant for a 1 hour workshop
Payment is due, in full, upon registration to confirm your place.
Fees are non-refundable, except in cases of facilitator cancellation or unforeseen emergencies.
Cancellations and Attendance
If you are unable to attend, please provide as much notice as possible.
Workshops canceled by the facilitator will be refunded.
Partial attendance does not reduce the agreed-upon fee.
Risks and Limitations
Workshops may bring up emotional material. While I will provide structure and support, you are responsible for your own emotional safety and decisions about participation.
If deeper therapeutic work is needed, I may recommend individual therapy or other resources.
Consent and Agreement
By signing below, you acknowledge that:
You have read and understood this agreement.
You understand the nature and limits of confidentiality.
You voluntarily agree to participate in the workshop under these terms.